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DR. CHARLES ROBERT CLARK M.D.
NPI 1164642948
Family Medicine in Hernando, FL

Active since April 26, 2007
1725 N SKY GLEN PATH, HERNANDO, FL 34442(352) 270-8425 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Charles Robert Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES ROBERT CLARK M.D. (NPI 1164642948) is an individual family medicine provider in Hernando, Florida, licensed in Maryland (D19029) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1164642948
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES ROBERT CLARKCredential: M.D.
Location Address1725 N SKY GLEN PATHHernando, FL 34442-6187
Mailing Address1725 N Sky Glen PathHernando, FL 34442-6187 · (352) 270-8425
Phone(352) 270-8425
Sole ProprietorYes
Enumeration DateApril 26, 2007
Last NPPES UpdateJanuary 2, 2008
✔ NPI 1164642948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D19029
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1725 N SKY GLEN PATH, Hernando, FL 34442
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Clark's NPI number?

The NPI number for Charles Clark is 1164642948. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Charles Clark located?

Charles Clark practices at 1725 N Sky Glen Path, Hernando, FL 34442. The listed phone number is (352) 270-8425.

What is Charles Clark's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Clark was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.